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Most women around the world begin sexual relationships between the ages of 15 and 19. Incorporating adolescent-friendly services into existing #familyplanning programs can make a big difference: https://t.co/DFxVJ8K1TE #HIPs4FP

We must address the needs of key populations and push back against stigma and violence. Join the #AIDS2018 movement https://t.co/tQZ8vjm9SW

How can #teens tell their friends and family they are #pregnant ? Mariah shares some advice on how to do it best. #ReMIXAnswers https://t.co/dzGf11gULr

Some thoughts on #empowerment from the incredible Maya Angelou! When you ask #WheresTheFP, you are taking a stand for #women everywhere!

We can all learn from the wisdom and lessons of the late @NelsonMandela on today's #MandelaLecture:

👩🏽=👦🏼=🧒🏻=👧🏽=👨🏼=🧑🏾=👨🏻=👱🏼‍♀️=👱🏾‍♂️=🧔🏿=👵🏼=🧓🏾=👴🏽=👲🏽=👳🏼‍♀️=👳🏻‍♂️=🧕🏼=🧑🏽=👶🏻=👵🏾=👳🏾‍♂️=👧🏼=🧕🏾=👴🏻=🧔🏽=👱🏾‍♀️=🧒🏿=👩🏼=👲🏽=🧔🏼=👳🏾‍♀️=👩🏻=🧔🏻=🧓🏿=👧🏻=👳🏼‍♂️=👴🏾=👶🏼=🧑🏿=🧔🏾=👩🏾=🧕🏻=👨🏽=👱🏼‍♀️ #WorldEmojiDay

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Fostering strong, supportive communities. Addressing gender norms. Ensuring legal rights & policies are protected & fulfilled. Just a few elements of strong, all-encompassing adolescent-friendly services. How to make them a reality: https://t.co/UD9qz1crQz #HIPs4FP

Knowledge is power. The power to #decide your future and your family. #FamilyPlanning #SRH https://t.co/ma7Yed5See

Read about how every form of #birthcontrol actually works. Because knowledge is power. The power to plan your future. #WheresTheFP https://t.co/lI7A3djqkU

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Home to more than 11 million people, Rwanda is the most densely populated country in Africa. Over the last several years, Rwanda made significant strides to increase family planning access and decrease maternal mortality, including building more hospitals and placing more skilled health personnel in remote areas. Despite these advances, fertility rates remain high and maternal mortality and morbidity such as obstetric fistula means risk for many women.

Obstetric fistula results from prolonged or obstructed labor and often leads to incontinence, nerve damage, and severe social stigma. Beginning in October 2006, in partnership with the Rwandan Ministry of Health (MOH) and key donors, including United Nations Population Fund and the German Society for Technical Cooperation (GTZ), EngenderHealth worked to support treatment for Rwandan women living with fistula. EngenderHealth’s work included support in seven public hospitals:

  • Ruhengeri Hospital
  • Central University Teaching Hospital of Kigali (CHUK)
  • Kanombe Military Hospital (KMH)
  • Kibogora Hospital
  • Kabgayi Hospital
  • Nyamata Hospital
  • Gahini Hospital

Through the U.S. Agency for International Development (USAID)–supported Fistula Care project, EngenderHealth worked with local and expatriate staff to train surgeons and nurses in fistula repair, provided equipment and supplies for fistula repair surgery, and collaborated with the MOH to ensure that patient costs are covered. Recognizing that fistula is almost always preventable, EngenderHealth also worked with health care staff to improve access to and the quality of emergency obstetric care. At the national level, EngenderHealth worked with the MOH to improve fistula prevention by integrating fistula-related messages with other maternal health and family planning services.

Fistula Care Rwanda also provided technical and logistical support to the National Safe Motherhood Technical Working Group and the fistula subcommittee, which provided a forum for groups working on fistula to coordinate their efforts; developed national norms, protocols, and tools for treatment and prevention; and helped devise a national strategy to tackle the problem. In 2010, the RESPOND Project provided guidance to the USAID mission in Kigali and the Rwandan MOH for the development of a national policy and strategy for family planning programs.


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